Technical Resources

This research brief presents the learnings from the documentation study on the scale-up of cord cleansing with chlorhexidine aqueous solution (CHX) in Bangladesh between 2015 and 2018. The results of this study are intended to inform continuing efforts to expand CHX coverage and future scale-up efforts of other innovations in Bangladesh, as well as the CHX scale-up efforts of other …

This article in the journal Global Health: Science and Practice describes an MCHIP-supported program in Lesotho to introduce national early infant male circumcision, and related challenges around cultural acceptance, availability of health care providers, and task sharing. To read the open access article, click here.

The journal Global Health: Science and Practice published an MCHIP co-authored article on “Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania.” The article highlights how interactive GIS maps—created by overlapping facility data (including roads and infrastructure) with population and service delivery data—permitted strategic deployment of mobile voluntary medical male …

The seminar report – published in Malaria Journal and co-authored by MCHIP staff – recaps the November 2014 meeting that was a global Call to Action for the scale-up of intermittent preventive treatment of malaria in pregnancy (IPTp). The Call to Action aimed to heighten awareness of the need to increase the protection of pregnant women against malaria and called on …

This reference guide focuses on large-scale, mostly public sector, CHW programs and how they might become as effective as possible. We provide many concrete examples of how large-scale programs have organized themselves, but more importantly, we raise issues that need to be faced by any large-scale program. With this in mind, the CHW Reference Guide is intended to be used …

One of MCHIP’s cross-cutting themes was to support governments to bring high-impact health interventions to scale. This review draws on 18 case studies involving MCHIP support to scale up six health interventions. The research team conducted desk reviews for each case study based on project documents and published and gray literature, supplemented by in-country teams’ self-assessments of progress in institutionalizing …

Over 60 countries have introduced HBB but relatively few have attempted a national rollout. Interventions such as HBB must be implemented at scale in order to achieve impact at the population level, but this introduces a set of system-related challenges that are not faced during small-scale trials. Improved understanding of the science of scale-up is crucial to achieving population-level impact. …

Over 60 countries have introduced HBB at some level but relatively few have attempted a national rollout. Interventions such as HBB must be implemented at scale in order to achieve population-level impact, but this introduces a set of system-related challenges that often are not faced during small-scale trials. Improved understanding of the science of scale-up is crucial to achieving impact …

More than 60 countries have introduced HBB at some level, but relatively few have attempted a national rollout. Interventions such as HBB must be implemented at scale in order to achieve impact at the population level, but implementing at scale involves system-related challenges that often are not faced during small- scale trials. Thus, improved knowledge of the science of scale-up …

This brief primarily illuminates the study of six high-impact reproductive, maternal, newborn, and child health interventions in 18 settings, supported by MCHIP between 2008 and 2013. For each intervention, there are three case study countries (and global efforts to scale up misoprostol for postpartum hemhorrage prevention) where MCHIP participated in scale-up efforts.

Publish Date: July 2014Author: MCHIP, Population Services International

MCHIP and Population Services International’s Support for International Family Planning Organization program (with funding from the U.S. Agency for International Development) convened a regional meeting in West Africa to bring together international and regional experts to advance integration of postpartum intrauterine device services into maternal health services. This meeting report covers the event, which took place in Ouagadougou, Burkina Faso, …

The Journal of Acquired Immune Deficiency Syndromes (JAIDS) has published the MCHIP co-authored article, “Lessons Learned From Scale-Up of Voluntary Medical Male Circumcision Focusing on Adolescents: Benefits, Challenges, and Potential Opportunities for Linkages With Adolescent HIV, Sexual, and Reproductive Health Services.” The article—part of a collection of papers in JAIDS entitled “Ending HIV and AIDS in Adolescents: Programmatic and Implementation …

MCHIP’s Newborn Health Team Leader, Dr. Joseph de Graft-Johnson, has contributed to a series of papers published in The Lancet. The series provides an overview of the progress to date in newborn survival, and stresses the need for quality care at birth. The article—entitled “Health-systems bottlenecks and strategies to accelerate scale-up in countries”—is one of five papers in the collection, …

This document is an in-depth review of issues and questions that should be considered when addressing key issues relevant for large-scale CHW programs. Rather than being an instructional manual, the Reference Guide is meant to provide a framework for those in leadership positions in-country as they consider how to develop, expand and strengthen their CHW program. It was developed in …

This collection of research studies provides evidence from five African countries—Kenya, South Africa, Tanzania, Zimbabwe and Lesotho—that safe, high-quality voluntary medical male circumcision (VMMC) services performed by trained healthcare professionals in low resource settings can be implemented and sustained at scale and has the potential to significantly prevent new HIV infections in adolescent and adult men. The papers published under …

MCHIP and Population Services International’s (PSI) Support for International Family Planning Organization (SIFPO) program, with funding from USAID, convened a regional meeting in Africa to bring together international and regional experts together to advance integration of postpartum intrauterine contraceptive device (PPIUCD) services into maternal health services. A total of 59 participants from 10 countries actively engaged in South-to-South learning, sharing …

Summary of proceedings from a technical advisory group meeting to discuss community health worker (CHW) performance at scale. Participants from 13 organizations attended the meeting to discuss the design and management of CHW programs at the community, district, and national levels in Asia, Africa, and Latin America. The meeting focused on considering effective community health work and the larger system in which CHWs function.

This paper briefly summarizes definitions, approaches and challenges to achieving “scale” in community-focused health programs, as discussed at the 2005 CORE spring meeting and the USAID CSHGP mini-university. This paper is meant to harmonize a vocabulary for use by NGOs and their partners as they further discuss, debate and analyze how NGOs and their partners can reach more people with …

To identify human resource approaches that are being used to improve VMMC volume and efficiency, we looked at previous literature and conducted a program review. We identified surgical efficiencies, non-surgical efficiencies, task shifting, task sharing, temporary redeployment of public sector staff during VMMC campaign periods, expansion of the health workforce through recruitment of unemployed, recently retired, newly graduating, or on-leave …

This report grew out of a review of the scale up of six maternal and child health interventions in India, Mali, Bangladesh and Malawi. The objective of the review was to identify effective scale-up strategies. Attachment Size Scaling-up-Synthesis-Report-100915.pdf 580.33 KB

Brochure on the MaMoni HSS project, an MCHIP Associate Award that aims to improve the utilization of integrated maternal, newborn and child health, family planning and nutrition (MNCH/FP/N) services to increase the availability and quality of high-impact interventions. The project supports the Ministry of Health and Family Welfare in Bangladesh to introduce and scale-up proven, evidence-based practices, with the ultimate aim …

The Essential Care for Every Baby (ECEB) Africa Regional Workshop (26-29 May 2014) provided an opportunity for dialogue with select countries implementing Helping Babies Breathe (HBB) at scale on the potential use of the ECEB learning materials to strengthen current newborn health programs and to develop a larger regional pool of ECEB Master Trainers and champions. Workshop objectives were to: …

The journal Global Health: Science and Practice has published an MCHIP co-authored article on “Successful Proof of Concept of Family Planning and Immunization Integration in Liberia.” Globally, unmet need for postpartum family planning (FP) remains high, while immunization services are among the most wide-reaching and equitable interventions. Given overlapping time frames, integrating these services provides an opportunity to leverage existing …

The journal Global Health: Science and Practice has published an MCHIP-authored article on “Engaging Communities With a Simple Tool to Help Increase Immunization Coverage.” The article describes an approach that aims to raise awareness and boost demand. The “My Village Is My Home” tool is a poster-sized material used by volunteers and health workers to record the births and vaccination …

MCHIP and Child Survival and Health Grants Program (CSHGP) grantees have implemented and tested integration models for replication and scale-up in a range of countries. They have promoted service delivery integration at the community level using community health workers and volunteers; integration of family planning with other MNCH services, including immunization; integration of maternal, infant, and young child nutrition (MIYCN) …

To understand the current status of national health management information system (HMIS) capacity to capture indicators of the content and quality of antenatal care and labor and delivery services in priority USAID countries where MCHIP works, and to gauge the scale of work yet to be done to improve the utility of health management information systems, MCHIP conducted a desk …

The journal Patient Education and Counseling published the MCHIP co-authored article, “Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh.” The article describes a study in Sylhet District, Bangladesh, that explored knowledge and perceptions about postpartum return to fecundity and used the Steps to …

BMC Public Health published an MCHIP co-authored article entitled “Feasibility and validity of telephone triage for adverse events during a voluntary medical male circumcision campaign in Swaziland.” The article describes a retrospective study that analyzed a dataset of telephone calls logged by the voluntary medical male circumcision (VMMC) hotline during a VMMC campaign. The objectives were to determine reasons clients …

A team convened by MCHIP reviewed the evidence related to how effective community-based delivery approaches (including community engagement and empowerment) have been in improving reproductive, maternal, newborn, and child health, MCHIP’s experience in supporting such approaches, and how such approaches might be scaled up for long-term, sustainable impact.

Publish Date: February 2014Author: MCHIP, Save the Children, Liberian Ministry of Health and Social Welfare

MCHIP and partners supported the introduction of chlorhexidine for umbilical cord care in Liberia in 2013. The primary purpose of MCHIP’s involvement was to assist the Ministry of Health and Social Welfare (MOHSW) and partners to: Lay the foundation for the scale-up of this intervention in the country; and Develop a policy for the use of chlorhexidine for umbilical cord …

MCHIP worked with the Child Survival and Health Grants Program (CSHGP) to provide technical assistance and to share grantees’ experiences and expertise within MCHIP programming. Key to achieving impact at scale is making sure that interventions reach those who need them most and there is equitable distribution of coverage across socioeconomic, ethnic, gender, and other population groups within countries. This …

The Lancet Global Health published an MCHIP co-authored letter titled “Antenatal corticosteroids to reduce preterm deaths in low-income settings.” The letter responds to an article by Kishwar Azad and Anthony Costello in the April 2014 edition of The Lancet Global Health titled “Extreme caution is needed before scale-up of antenatal corticosteroids to reduce preterm deaths in low-income settings.” The letter …

This guide has been developed to provide organizations and agencies with a step-by-step guide to participating in the improvement and scale-up of existing misoprostol distribution programs for prevention of postpartum hemorrhage (PPH). It is intended for use by organizations that have not previously implemented misoprostol programming, as well as by Ministries of Health (MoHs) and consortiums of implementing partners interested …

Giving women Antenatal Corticosteroids (ACS) has been identified as a highly effective intervention to improve newborn outcomes. The attached tool—aimed a clinicians, implementers and trainers—gives explicit guidance about when to give ACS, and clearly states the correct drugs, dosage, and timing to administer. Also available are two complementary resources: Advocacy briefer: addresses how and why ACS administration should be scaled …

Giving women Antenatal Corticosteroids (ACS) has been identified as a highly effective intervention to improve newborn outcomes. The attached technical briefer describes the proper clinical use of Antenatal Corticosteroids (ACS) to improve outcomes for preterm newborns. Also available is a complementary advocacy briefer—available in English, French, Spanish and Portuguese—addresses how and why ACS administration should be scaled up in developing countries, …

Giving women Antenatal Corticosteroids (ACS) has been identified as a highly effective intervention to improve newborn outcomes. An updated ACS advocacy briefer (available in English, French, Spanish and Portuguese) is coming soon, and addresses how and why ACS administration should be scaled up in developing countries, and highlights its value as an effective intervention to save newborn lives. Also available …

Co-authored by MCHIP staff, the article describes a study conducted at three health facilities in Tanzania’s Iringa Region to gather data on penile measurements that will inform the development of devices for adult/adolescent voluntary medical male circumcision (VMMC). Such devices could potentially accelerate the pace of VMMC scale-up. This descriptive study is the first study in a sub-Saharan African population …

Brief on MCHIP work in Latin America and the Caribbean to improve newborn health by participating in the LAC Alliance, addressing quality improvement, promoting south-to-south learning, and supporting the scale up of evidence-based methods to address the most pressing neonatal health risks. (Available in both English and Spanish.)

This paper proposes an approach to estimating the costs of demand creation for voluntary medical male circumcision (VMMC) scale-up in 13 countries of eastern and southern Africa. It addresses two key questions: (1) what are the elements of a standardized package for demand creation? And (2) what challenges exist and must be taken into account in estimating the costs of …

There is an enormous range of research that could be undertaken to support routine immunization. However, implementation of strategic plans, rather than additional research will have the greatest impact on raising immunization coverage and preventing disease, disability, and death from vaccine-preventable diseases. The panel emphasized the importance of tying operational research to programmatic needs, with a focus on efforts to …

The 2011 Africa Regional Meeting on Interventions for Impact in Essential Obstetric and Newborn care, organized by USAID’s flagship Maternal, Newborn and Child Health Integrated Program (MCHIP), was five days where educational sessions were held in Addis Ababa, Ethiopia. It brought together policy leaders, experienced clinicians and program managers to support accelerated implementation and expansion of maternal and newborn health …

This practical guide is intended to help African countries implement and scale up programs to prevent and treat malaria in pregnancy. It was inspired by the WHO/AFRO Strategic Framework for Malaria Control during Pregnancy in the African Region, which presents a systematic approach to program implementation. This guide describes eight essential program components within that approach that are needed to …

This case study contributes to the development of a standardized framework for the analysis of best practices and bottlenecks in MIP implementation. The methodology used consisted of a desk review of secondary data sources, as well as in-depth qualitative interviews. The findings were then analyzed according to the MIP Readiness Scale, a framework developed by Jhpiego and the Malaria Action …

These guidelines were developed to provide international standards, primarily for low- and middle-income settings, in support of the global scale-up of more effective interventions aimed at prevention of mother-to-child transmission of HIV (PMTCT) in resource-limited settings. Once implemented, these recommendations could reduce the risk of transmission from mother-to-child to less than 5% (or even lower) in breastfeeding populations from a background risk of …

The purpose of this document is to define WHO’s commitment to global and country support to scale up access to prevention of mother-to-child transmission of HIV services and to integrate these services with maternal, newborn and child health programs.

This paper discusses the importance of strengthening the quality of malaria in pregnancy (MIP) services across the continuum of care, including focused antenatal care (ANC) services and increased involvement of communities in the prevention and case management of MIP, and presents recommendations for scale-up.

MCHIP works to accelerate the reduction of maternal, newborn, and child mortality in 30 priority countries through the introduction, development, and scale-up of high-impact MNCH interventions, including malaria prevention and treatment.

MCHIP undertook its second annual survey of national programs for the management of postpartum hemorrhage (PPH) and pre-eclampsia/eclampsia (PE/E) from January to March 2012. This country-level program analysis included countries from Africa, Asia and Latin America, focusing on those USAID priority countries that face the highest burden of maternal morbidity. The purpose of the review was to understand the status …